Active NPI
Kathleen Anne Burke
- Clinical Social Worker
- Boston, MA
National Provider Identifier
1538455472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 120246
- Practice address
- 84 State St Ste 660
Boston, MA 02109-2200 - Phone
- (800) 370-3651
- Fax
- (877) 515-7147
- NPI assigned
- Jun 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 120246 | MA | Primary |
Addresses
Primary practice location
84 State St Ste 660
Boston, MA 02109-2200
Mailing address
321 Fortune Blvd
Milford, MA 01757-1750
Phone (508) 478-0207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491350400000",
"number": "1538455472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 FORTUNE BLVD",
"city": "MILFORD",
"state": "MA",
"postal_code": "017571750",
"telephone_number": "508-478-0207",
"fax_number": "508-634-6984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 STATE ST STE 660",
"city": "BOSTON",
"state": "MA",
"postal_code": "021092200",
"telephone_number": "800-370-3651",
"fax_number": "877-515-7147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "KATHLEEN",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-20",
"last_updated": "2017-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "120246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.